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Individual

MAJA WITWICKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(646) 519-1853
Mailing address
869 ORANGE ST APT 3W, NEW HAVEN, CT 06511-2562

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
137745
CT
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
12.009995
CT

Other

Enumeration date
05/14/2021
Last updated
09/07/2021
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